MEDICARE: HARMONY HEALTH MEDICAL CLINIC AND FAMILY RESOURCE CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator
2	261QR1300X	Rural Health Clinic/Center	RHM53942F	CA
3	261QF0400X	Federally Qualified Health Center (FQHC)	550002538	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124130620
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONY HEALTH MEDICAL CLINIC AND FAMILY RESOURCE CENTER

Provider Business Mailing Address
First Line	:	1908 N BEALE RD STE E
Second Line	:
City	:	MARYSVILLE
State	:	CA
Zip	:	95901-6937
Country	:	US
Telephone Number	:	530-743-6888
Fax Number	:	530-743-9823

Provider Business Practice Location Address
First Line	:	1908 N BEALE RD STE E
Second Line	:
City	:	MARYSVILLE
State	:	CA
Zip	:	95901-6937
Country	:	US
Telephone Number	:	530-743-6888
Fax Number	:	530-743-9823

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	RACHEL FARRELL
Credential	:	PA-C
Telephone Number	:	530-743-6888

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/10/2023

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